DAVID FENTON MD (Credential# 559114) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DAVID FENTON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041531. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 85 Stage Harbor Rd, Marlborough, CT 06447-1113. The current status is active.
| Licensee Name | DAVID FENTON MD |
| Credential ID | 559114 |
| Credential Number | 1.041531 |
| Credential Type | Physician/Surgeon |
| Business Address |
85 Stage Harbor Rd Marlborough CT 06447-1113 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-06-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 334867 | CSP.0033434 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-06-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1305048 | CSP.0061300 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1130976 | CSP.0053958 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-11-08 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 85 STAGE HARBOR RD |
| City | MARLBOROUGH |
| State | CT |
| Zip Code | 06447-1113 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marlborough Health & Rehabilitation Center | 85 Stage Harbor Rd, Marlborough, CT 06447-1113 | Chronic & Convalescent Nursing Home | 2018-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James E Cabral | 17 Stage Harbor Rd, Marlborough, CT 06447-1113 | Emergency Medical Responder | 2020-04-01 ~ 2023-03-31 |
| Thomas K Hannon | 71 Stage Harbor Rd, Marlborough, CT 06447-1113 | Elevator Limited Conveyor Journeyperson | 2017-09-01 ~ 2018-08-31 |
| Tammy B Jones | 49 Stage Harbor Rd, Marlborough, CT 06447-1113 | Real Estate Salesperson | 2011-06-01 ~ 2012-05-31 |
| Michael L Chicoine | 39 Stage Harbor Rd, Marlborough, CT 06447-1113 | Emergency Medical Technician | 2010-04-09 ~ 2013-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda T Nachtigal Dvm | 86 Saner Road, Marlborough, CT 06447 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Victoria Demari Cartagena | 113 Hebron Road, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christina L Abrahamson · Lonergan | 47 South Stonybrook Drive, Marlborough, CT 06447 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Bozena M Michalski · Marcowka | 18 Portland Rd, Marlborough, CT 06447 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Benedict C Valentine II | 8 Independence Drive, Marlborough, CT 06447 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
| Nicolette M Banbury | 21 Cheney Road, Marlborough, CT 06447 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Lynn E Wohlfert | 117 North Main Street, Marlborough, CT 06447 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Jo-ellen D Beam | 120 Edstrom Rd, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kevin J Pease | 82 South Main St, Marlborough, CT 06447 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Lea L Lee | 38 Keirstead Circle, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06447 | |||
| City | MARLBOROUGH |
| Zip Code | 06447 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MARLBOROUGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fred R Fenton | 2 Smith Neck Rd, Old Lyme, CT 06371 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Barbara A Fenton | 12 Charlton Hill Rd, Hamden, CT 06518-2550 | Physician/surgeon | 2012-02-09 ~ 2012-09-30 |
| Richard M Fenton | 183 S.e. Wells Drive, Stuart, FL 34996-1336 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Robert H Fenton | 357 Longmeadow Road, Orange, CT 06477 | Physician/surgeon | 2000-09-21 ~ 2001-10-31 |
| Fenton Schaffner Md | 12 Painter Ridge Road, Washington, CT 06793 | Physician/surgeon | 1999-10-19 ~ 2000-12-31 |
| Mary Anne Fenton | 23 Indian Brook Rd, Ashland, MA 01721 | Physician/surgeon | 2002-10-28 ~ 2003-10-31 |
| Richard Scott Fenton | Fenton Ewald & Associates, Needham, MA 02494-1365 | Certified Public Accountant License | 2009-01-01 ~ 2009-12-31 |
| David R Fenton | 30 Sunrise Rd, Wolcott, CT 06716-2638 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| David A. Fenton | 33 High St, Bristol, CT 06010-5820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fenton Interiors LLC | 39 High Street, Collinsville, CT 06019 | Home Improvement Contractor | 2017-12-06 ~ 2018-11-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).